F1ANNEX IIFORM OF PASSENGER SHIP SAFETY CERTIFICATE

Annotations:

PASSENGER SHIP SAFETY CERTIFICATE(This Certificate shall be supplemented by a Record of Equipment)

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RECORD OF EQUIPMENT FOR THE PASSENGER SHIP SAFETY CERTIFICATE

This Record shall be permanently attached to the Passenger Ship Safety Certificate

RECORD OF EQUIPMENT FOR COMPLIENCE WITH THE PROVISIONS OF DIRECTIVE 2009/45/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL

Particulars of ship

Name of ship:

Distinctive number or letters:

Number of passengers for which certified:

Minimum number of persons with required qualifications to operate the radio installations:

Details of life-saving appliances

1

Total number of persons for which life-saving appliances are provided

2

Lifeboats and rescue boats

Port side

Starboard side

2.1

Total number of lifeboats

2.2

Total number of persons accommodated by them

2.3

Total number of lifeboats LSA 4.5

2.4

Total number of lifeboats LSA 4.6

2.5

Total number of lifeboats LSA 4.7

2.6

Number of motor lifeboats included in the total lifeboats shown above

2.7

Number of life boats fitted with search lights

2.8

Number of rescue boats

2.9

Number of boats which are included in the total lifeboats shown above

3

Life rafts

Port side

Starboard side

3.1

Total number of number of liferafts

3.2

Number of persons accommodated by them

3.3

Number of liferafts for which approved launching appliances are required

3.4

Number of liferafts for which approved launching appliances are not required

Details of life-saving appliances (continued)

4

Personal life saving appliances

4.1

Number of lifebuoys

4.2

Number of adult lifejackets

4.3

Number of child life jackets

4.4

Number of immersion suits

4.5

Number of immersion suits complying with the requirements for lifejackets

4.6

Number of thermal protective aids51

5

Pyrotechnics

5.1

Line throwing appliance

5.2

Distress flares

6

Radio life-saving appliances

6.1

Number of radar transponders

6.2

Number of two-way VHF radio telephone apparatus

Excluding those that are included in the lifeboat, liferaft, and rescue boat equipment in order to comply with the LSA code.

Details of radio facilities

1

Primary systems

1.1

VHF radio installation

1.1.1

DSC encoder

1.1.2

DSC watch receiver

1.1.3

Radio telephony

1.2

MF radio installation

1.2.1

DSC encoder

1.2.2

DSC watch receiver

1.2.3

Radiotelephony

1.3

MF/HF radio installation

1.3.1

DSC encoder

1.3.2

DSC watch receiver

1.3.3

Radiotelephony

1.3.4

Direct printing radio telegraphy

1.4

INMARSAT ships earth station

2

Secondary means of alerting

Details of radio facilities (continued)

3

Facilities for reception of maritime safety information

3.1

NAVTEX receiver

3.2

EGC receiver

3.3

HF direct-printing radiotelegraph receiver

4

Satellite EPIRB

4.1

COSPAS-SARSAT

4.2

(INMARSAT)

5

VHF EPIRB

6

Ship’s radar transponder

Methods used to ensure availability of radio facilities(Regulations IV/15.6 and 15.7)

7.1

Duplication of equipment

7.2

Shore based maintenance

7.3

At-sea maintenance capability

Details of navigational systems and equipment

1.1

Standard magnetic compass53

1.2

Spare magnetic compass53

1.3

Gyro compass53

1.4

Gyro-compass heading repeater53

1.5

Gyro-compass bearing repeater53

1.6

Heading or track control system53

1.7

Pelorus or compass bearing device53

1.8

Means of correcting headings and bearings53

1.9

Transmitting heading device53

2.1

Nautical charts/electronic chart display and information system (ECDIS)

2.2

Back-up arrangements for ECDIS

2.3

Nautical publications

3.1

Receiver for a global navigation satellite system/terrestrial radio navigation system52,53

3.2

9 GHz radar53

3.3

Second radar (3 GHz / 9GHz)52,53

3.4

Automatic radar plotting aid (ARPA)53

3.5

Automatic tracking aid53

3.6

Second automatic tracking aid53

3.7

Electronic plotting aid53

4

Automatic identification system (AIS)

5

Voyage data recorder / Simplified voyage Data Recorder (VDR / S-VDR)52

6.1

Speed and distance measuring device (through the water)53

6.2

Speed and distance measuring device (over the ground in the forward and the athwartship direction)53

7

Echo-sounding device53

8.1

Rudder, propeller, thrust, pitch and operational mode indicators53

8.2

Rate-of-turn indicator53

Delete as appropriate.

Alternative means of meeting this requirement are permitted under SOLAS V/19. In case of other means they shall be specified.